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Contact Information

SAFEWAY INC
40 COUNTY ROAD 804
FRASER, CO80442
 Phone: 970-726-6920
 Fax: 970-726-6836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for SAFEWAY INC

NPI # 1508895566
LBN Legal business name SAFEWAY INC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 04/03/2020 - About 6 years ago
Identifiers
CO License # PDO.1620000001
CO Medicaid 45702845
Other 2003357 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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